Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 268
- 试验地点
- 2
- 主要终点
- Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v2.1 - Pain Interference Score
研究概览
简要总结
Multiple chronic conditions (MCCs) are costly and pervasive among older adults. MCCs account for 90% of Medicare spending, and 65% of Medicare beneficiaries have 3 or more chronic conditions; 23% have 5 or more. MCCs are often addressed in primary care, where time pressures force a focus on medication and lab results rather than self-management skills.
The primary purpose of this study is to investigate whether voice-activated "smart" technology increases adoption and sustains use of an evidence-based electronic health intervention (Elder Tree, or ET) for older adults with multiple chronic conditions, and thereby improves its potential to widely enhance quality of life and health outcomes. ET is an existing intervention providing tools, motivation, and support on a computer platform to help older adults manage their health.
An Agency for Health Care Research and Quality (AHRQ)-funded randomized controlled trial (RCT) found that ET improved quality of life and other factors among high users of primary care with multiple chronic conditions such as diabetes and hypertension. However, many people did not use it extensively, which is a common problem with all web apps.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be ≥60 years old;
- •Have been treated in University of Wisconsin (UW) Health clinics, with no plans to leave during the study period (only relevant for UW Health patients, not patients recruited from the community);
- •Have a chronic pain diagnosis AND a medical diagnoses of three or more of the following common chronic conditions: Chronic obstructive pulmonary disease (COPD), asthma, diabetes, hyperlipidemia, hypertension, ischemic heart disease, atrial fibrillation, heart failure, stroke, BMI 30+, cancer, chronic kidney disease, depression, osteoporosis, arthritis, or dizziness/falls/loss of vestibular function;
- •Be willing to share healthcare use (e.g. 30-day readmissions) in electronic health records (only relevant for UW Health patients, not patients recruited from the community); and
- •Allow researchers to share information about a patient's health status with their primary care physician (PCP).
排除标准
- •Require an interpreter
- •Have a medical diagnosis of any of the following:
- •Alzheimer's
- •Schizophrenia/other psychotic disorders
- •Autism spectrum disorder
- •Known terminal illness with less than 6 months to live
- •Acute medical problem requiring immediate hospitalization
结局指标
主要结局
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v2.1 - Pain Interference Score
时间窗: Baseline, 4 months, 8 months
Pain interference was measured using the 4-item subscale from the PROMIS 29. The items asked participants to answer regarding the past 7 days. Scoring of individual items varies and is calculated by the scale's developers; with higher values indicating more pain interference. The possible range is 41.1 to 76.3 (PROMIS scores reported here have weighted ranges).
Change in PROMIS Short Form v2.1 - Psychosocial Quality of Life Score
时间窗: Baseline, 4 months, 8 months
Psychosocial quality of life was measured using the 12-item subscale from the PROMIS 29. The items asked participants to answer regarding the past 7 days. Scoring of individual items varies and is calculated by the scale's developers; with higher values indicating better quality of life. The possible range is 21.2 to 67.6.
次要结局
- ElderTree Days of Use(baseline to 4 months, and 4 months to 8 months)
- Physical Quality of Life(Baseline, 4 months, 8 months)
- Pain Intensity(Baseline, 4 months, 8 months)
- Number of Participants Readmitted Within 30-days(Baseline, 4 months, 8 months)
- Health Distress(Baseline, 4 months, 8 months)
- Well-being(Baseline, 4 months, 8 months)
- Loneliness(Baseline, 4 months, 8 months)
- Irritability(Baseline, 4 months, 8 months)
- Communication With Physicians(Baseline, 4 months, 8 months)